Dissemination of the Spear & Shield Project using a Training of Trainers Model: A reflection on challenges and successes
Several large-scale clinical trials have conclusively demonstrated that voluntary medical male circumcision (VMMC) could provide a 50%-70% reduction in HIV acquisition, but willingness to undergo VMMC has been lowest in Zambia compared to other countries in eastern and southern Africa. This manuscript describes training for “task-shifting”among local healthcare workers at Community Health Centers (CHCs) applying […]
Stunting in the Context of Plenty: Unprecedented Magnitudes Among Children of Peasant’s Households in Bukombe, Tanzania
Background: It is perceived that children living in peasants’ households are protected from undernutrition owing to a relative better food availability. However, evidence suggests an increased vulnerability that is not conforming to such norm and varies from one region to another. To address this research gap, we examined the magnitude and factors associated with stunting […]
A 10 year study of the cause of death in children under 15 years in Manhiça, Mozambique
Background. Approximately 46 million of the estimated 60 million deaths that occur in the world each year take place in developing countries. Further, this mortality is highest in Sub-Saharan Africa, although causes of mortality in this region are not well documented. The objective of this study is to describe the most frequent causes of mortality […]
Modelling cost benefit of community-oriented primary care in rural South Africa
Background: Globally, rural populations have poorer health and considerably lower levels of access to healthcare compared with urban populations. Although the drive to ensure universal coverage through community healthcare worker programmes has shown significant results elsewhere, their value has yet to be realised in South Africa. Aim: The aim of this study was to determine […]
Maternal anemia in pregnancy: Assessing the effect of routine preventive measures in a malaria-endemic area
We investigated the effectiveness of routine preventive measures for anemia in Beninese pregnant women during pregnancy. Anemia (hemoglobin < 110 g/L) was common: 68.3% at first antenatal visit (ANV1), 64.7% at second antenatal visit (ANV2), and 40.6% at delivery. Parasitic infections and nutritional deficiencies were the most preventable causes. After intermittent preventive treatment (IPTp) and […]
Trends and Drivers of Unmet Need for Family Planning in Currently Married Tanzanian Women between 1999 and 2016
The current study investigated the trends and factors associated with the unmet need for family planning (FP) for limiting and spacing births among married Tanzanian women between 1999 and 2016. The study used Tanzania Demographic and Health Survey (TDHS) data for the years 1999 (N = 2653), 2004–2005 (N = 2950), 2010 (N = 6412), […]
Sustainability of market-based community distribution of Sprinkles in Western Kenya
To evaluate the sustainability of market-based community distribution of micronutrient powders (Sprinkles®, Hexagon Nutrition, Mumbai, India.) among pre-school children in Kenya, we conducted in August 2010 a follow-up survey, 18 months after study-related marketing and household monitoring ended. We surveyed 849 children aged 6-35 months randomly selected from 60 study villages. Nutritional biomarkers were measured […]
Course of depression symptoms between 3 and 8months after delivery using two screening tools (EPDS and HSCL-10) on a sample of Sudanese women in Khartoum state
Background: Effects of depression on parenting and on cognitive development of newborns are augmented when symptoms continue throughout the first postnatal year. Current classification systems recognize maternal depression as postnatal if symptoms commence within four to six weeks. Traditional cultural rituals in Sudan offer new mothers adequate family support in the first 6-8weeks postpartum. The […]
Factors associated with adoption of beneficial newborn care practices in rural Eastern Uganda: A cross-sectional study
Background: Beneficial newborn care practices can improve newborn survival. However, little is known about the factors that affect adoption of these practices. Methods: Cross-sectional study conducted among 1,616 mothers who had delivered in the past year in two health sub-districts (Luuka and Buyende) in Eastern Uganda. Data collection took place between November and December 2011. […]
Socioeconomic inequality in modern contraceptive utilization among reproductive-age women in sub-Saharan African countries: a decomposition analysis
Introduction: Family planning services allow individuals to achieve desired birth spacing, family size, and contribute to improved health outcomes for infants, children, women, and families, and prevent unintended pregnancy. Births resulting from unintended pregnancies can have negative consequences Children from unintended pregnancies are more likely to experience poor mental and physical health during childhood. Even […]
